Organization Active NPI

Optio, PLLC

  • Audiologist
  • Southlake, TX
National Provider Identifier
1154888196
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
OPTIO, PLLC
Practice address
2211 E Southlake Blvd Ste 525
Southlake, TX 76092-1533
Phone
(817) 873-6810
Fax
(817) 766-7026
NPI assigned
Feb 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Joely Kate Anderson
Title
General Manager
Phone
(940) 782-6598

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

2211 E Southlake Blvd Ste 525
Southlake, TX 76092-1533

Mailing address

2007 Irving PL
Wichita Falls, TX 76308-2031
Phone (940) 782-6598

Other names 1

  • Eyes & Ears Doing business as

National Provider Directory

National Provider Directory

Locations

2211 E Southlake Blvd
Southlake, TX 76092
Phone (940) 691-5645

2211 E Southlake Blvd
Ste 525
Southlake, TX 76092
Phone (817) 873-6810

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1154888196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 IRVING PL",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082031",
            "telephone_number": "940-782-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 E SOUTHLAKE BLVD STE 525",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921533",
            "telephone_number": "817-873-6810",
            "fax_number": "817-766-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOELY",
        "authorized_official_middle_name": "KATE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "940-782-6598",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes & Ears",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.